| NPI | 1629193172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY TUBIS Dentist Owner 626-962-4428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49691) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2015-09-28 |